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SURVEY OF LABELING OF PRE-TRANSFUSION SAMPLES IN IRELAND 2011
Questions Answers
1.Hospital Information
1 Please select your hospital
2 Contact email address
2. Blood transfusion sampling in YOUR HOSPITAL
3 Does your hospital have a written policy with explicit criteria for acceptance YES
of samples for blood transfusion (i.e. blood grouping and cross matching)?
NO
4 Does your hospital have a written policy on sampling for blood transfusion? YES
NO
5 Is training provided in your hospital for staff involved in sampling for blood All
transfusion? Some
None
Please comment
6 Who delivers training on sampling for blood transfusion in your hospital? Haemovigilance Officer
Medical Scientific Staff
Nursing / Midwifery staff
Medical staff
Please comment
7 Which members of staff are permitted to take samples for blood transfusion Phlebotomist not employed by laboratory
in routine situations? Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other (please specify)
8 Which members of staff are permitted to take samples for blood transfusion Phlebotomist not employed by laboratory
in emergency situations? Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other (please specify)
Survey Questionnaire 1 10 June 2011
Questions Answers
3 Hospital blood banks Rejected Samples June –August 2011
9 What number of samples are received in the hospital blood bank (HBB) per <1000
annum 1000-5000
5001-10000
10001-15000
>15001
10 What is the total number of samples submitted for testing between June- Jun-11
August 2011? Jul-11
Aug-11
11 What is the total number of samples rejected on each month? Jun-11
Jul-11
Aug-11
Unlabelled
Illegible/unreadable
Incomplete or missing information on either
sample tube or request form
Mismatched information on tube & request
form
Addressograph label used on sample tube
(This does not include blood track label
from a bed-side scanning system)
Sample tube and / or request form not
clearly signed
Other (please comment)
12 Identify the number of samples rejected in each category Other (please
Survey Questionnaire 2 10 June 2011
Questions Answers
4. Wrong blood in Tube- Historical group available in HBB June –August 2011
Jun-11
Between June and August 2011 what number of samples were received Jul-11
13 ABO and /or the Rh D result did NOT match the previous result on file? Aug-11
Emergency Department
Theatre
ICU
Day Ward / Out patients dept
Neonatal unit
Ward
Unable to determine
14 How many wrong blood in tube samples came from following clinical areas? None of the above.
Phlebotomist not employed by laboratory
Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other
15 How many of wrong blood in tube samples were taken by following staff? Unable to determine
Survey Questionnaire 3 10 June 2011
Questions Answers
5. Additional Wrong blood in Tube -No historical group available in HBB June –August 2011
Between June and August 2011 how many samples were deemed to be Jun-11
Wrong Blood in Tube? Jul-11
16 Aug-11
How many of these WBIT were discovered in the HBB in following way? Information received from sampler
Investigation of BT sample triggered by
discrepancy between current and previous
haematology/ coagulation results
Investigation triggered by discrepancy
between sample tube and request card.
17 Other
Were these WBIT confirmed by checking ABO and Rh groups ? (Please All
Some
18 None
How many wrong blood in tube samples came from following clinical areas? Emergency Department
Theatre
ICU
Day Ward / Out patients dept
Neonatal unit
Ward
Unable to determine
19 None of the above.
How many of wrong blood in tube samples were taken by following staff? Phlebotomist not employed by laboratory
Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other
20 Unable to determine
Survey Questionnaire 4 10 June 2011
Excel Questionnaire -Survey Hints
Question
No Questions Supporting information for questions
1.Hospital Information
1 Please select your hospital Pleas enter your hospital name
2 Contact email address Please supply your email address to allow us to contact you. Not
mandatory.
2. Blood transfusion sampling in YOUR HOSPITAL
3 Does your hospital have a written policy with explicit YES
criteria for acceptance of samples for blood transfusion This question relates to policy (ies) in the HBB on acceptance of blood
(i.e. blood grouping and cross matching)? NO transfusion samples
4 Does your hospital have a written policy on sampling for YES This question relates to policy (ies) in the clinical area on requirements
blood transfusion? NO for and taking of blood transfusion samples
5 Is training provided in your hospital for staff involved in All
sampling for blood transfusion? Some
None There is a free text space in the “please comment”, which allows you to
Please comment comment if some or all professional groups are provided with training.
6 Who delivers training on sampling for blood transfusion Haemovigilance Officer
in your hospital? Medical Scientific Staff
Nursing / Midwifery staff
Medical staff
Please comment In this question, you can make multiple selections if applicable
7 Which members of staff are permitted to take samples for Phlebotomist not employed by laboratory
blood transfusion in routine situations? Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other (please specify) In this question, you can make multiple selections if applicable.
8 Which members of staff are permitted to take samples for Phlebotomist not employed by laboratory
blood transfusion in emergency situations? Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant
Other (please specify) In this question, you can make multiple selections if applicable.
Survey Hints 5 10 June 2011
Question
No Questions Supporting information for questions
3 Hospital blood banks Rejected Samples June –August 2011
9 What number of samples are received in the hospital <1000
blood bank (HBB) per annum 1000-5000
5001-10000
10001-15000 Please note this is an annual figure for blood transfusion samples.
>15001 You can use 2010 figures.
10 What is the total number of samples submitted for testing Jun-11
between June- August 2011? Jul-11 Please enter the total number of samples submitted for each individual
Aug-11 month. This data must be collected each month.
11 What is the total number of samples rejected on each Jun-11
month? Jul-11 Please enter the total number of samples rejected for each individual
Aug-11 month. This data must be collected each month.
Unlabelled
Illegible/unreadable
Incomplete or missing information on
either sample tube or request form
Mismatched information on tube &
request form
Addressograph label used on sample tube
(This does not include blood track label
from a bed-side scanning system)
Sample tube and / or request form not clearly
signed
Other (please comment) Please enter the total number of samples rejected foe each individual
12 Identify the number of samples rejected in each category Other (please category. This data represents a three month period
Survey Hints 6 10 June 2011
Question
No Questions Supporting information for questions
4. Wrong blood in Tube- Historical group available in HBB June –August 2011
Between June and August 2011 what number of samples Jun-11 Please enter the total number of samples which did not match the
were received ABO and /or the Rh D result did NOT Jul-11 historical group for each individual month. This data must be
13 match the previous result on file? Aug-11 collected each month
Emergency Department
Theatre
ICU
Day Ward / Out patients dept
Neonatal unit
Ward Please identify the clinical areas from where the WBIT samples were
How many wrong blood in tube samples came from Unable to determine received from June to August 2011. This data represents the
14 following clinical areas? None of the above. three month period
Phlebotomist not employed by laboratory
Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar
Consultant Please identify who took the WBIT samples received to the hospital
How many of wrong blood in tube samples were taken by Other transfusion laboratory. This data represents the three month
15 following staff? Unable to determine period.
Survey Hints 7 10 June 2011
Question
No Questions Supporting information for questions
5. Additional Wrong blood in Tube -No historical group available in HBB June –August 2011
Between June and August 2011 how many samples were Jun-11 Please include any numbers of WBIT discovered each month where
deemed to be Wrong Blood in Tube? Jul-11 there was NO historical group available in the HBB.
Aug-11 This does not include data collected for Question 13. This data
16 must be collected each month
How many of these WBIT were discovered in the HBB Information received from sampler
in following way? Investigation of BT sample triggered by
discrepancy between current and previous Please highlight how these WBIT (from Q 16) were discovered. The
haematology/ coagulation results categories in this section highlight frequent methods of discovery, so
Investigation triggered by discrepancy include the number discovered in each way.
between sample tube and request card. This does not include data collected for Question 13. This data
17 Other represents the three month period.
Were these WBIT confirmed by checking ABO and Rh All
groups ? (Please Ö) Some
18 None Please tick most representative answer.
How many wrong blood in tube samples came from Emergency Department
following clinical areas? Theatre
ICU
Day Ward / Out patients dept
Neonatal unit Please identify what clinical areas the wrong blood in tube samples
Ward (from Q 16) received in the HBB, came from?. This does not
Unable to determine include data collected for Question 13 This
19 None of the above. data represents the three month period.
How many of wrong blood in tube samples were taken by Phlebotomist not employed by laboratory
following staff? Phlebotomist employed by laboratory
Medical Scientific Staff
Nursing / Midwifery staff
Medical student
Intern /House officer / Registrar Please identify who took wrong blood in tube samples (from Q 16)
Consultant which was received in the HBB. This does not include data
Other collected for Question 13 This data
20 Unable to determine represents the three month period.
Survey Hints 8 10 June 2011
